Individual
DR. RYAN WAYNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
9465 KENWOOD, APT 22205, LENEXA, KS 66219-2537
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2001012906
MO
Other
Enumeration date
03/13/2007
Last updated
10/23/2015
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